<div id="signin_form">               	
                	<form>
                    	<div class="block_signin">
                    		<label>Họ và tên</label>
                        	<input class="input_signin" type="text" id="admin_tendn_signin" name="admin_tendn_signin"/>
                        </div>
                    	<div class="block_signin">
                    		<label>Tên đăng nhập</label>
                        	<input class="input_signin" type="text" id="admin_tendn_signin" name="admin_tendn_signin"/>
                        </div>
                        <div class="block_signin">
                        	<label>Mật khẩu</label>
                        	<input class="input_signin" type="text" id="admin_matkhau_signin" name="admin_matkhau_signin"/>
                         </div>
                         <div class="block_signin">
                        	<label>Ngày sinh</label>
                        	<select class="input_select_signin" name="sltNgay" id="sltNgay"> 
                                <option selected = "Ngày">Ngày</option>
									<?php
                                    for ($i=1;$i<=31;$i++)
                                    echo"<option value = ".$i.">".$i."</option>";
                                    ?>
                            </select> &nbsp;&nbsp;&nbsp;
                            <select class="input_select_signin" name="sltThang" id="sltThang"> 
                                <option selected = "Tháng">Tháng</option>
									<?php
                                    for ($i=1;$i<=12;$i++)
                                    echo"<option value = ".$i.">".$i."</option>";
                                    ?>
                            </select> &nbsp;&nbsp;&nbsp;
                            <select class="input_select_signin" name="sltNam" id="sltNam"> 
                                <option selected = "Năm">Năm</option>
									<?php
                                        for ($i=1970;$i<=2000;$i++)
                                        echo"<option value =".$i.">".$i."</option>";
                                    ?>
                            </select> &nbsp;&nbsp;&nbsp;
                         </div>
                         <div class="block_signin">
                        	<label>Giới tính</label>
                        	<span class="input_signin">
                            	<input type="radio" name="rdGioiTinh" id="radio" value="Nam" />Nam &nbsp;&nbsp;&nbsp;
								<input type="radio" name="rdGioiTinh" id="radio2" value="Nữ" />Nữ 
							</span> 
                         </div>
                         <div class="block_signin">
                        	<label>Địa chỉ</label>
                        	<input class="input_signin" type="text" id="admin_matkhau_signin" name="admin_matkhau_signin"/>
                         </div>
                         <div class="block_signin">
                        	<label>Email</label>
                        	<input class="input_signin" type="text" id="admin_matkhau_signin" name="admin_matkhau_signin"/>
                         </div>
                         <div class="block_signin">
                        	<label>Số điện thoại</label>
                        	<input class="input_signin" type="text" id="admin_matkhau_signin" name="admin_matkhau_signin"/>
                         </div>
                         <div class="block_signin">
                        	<label>Số CMND</label>
                        	<input class="input_signin" type="text" id="admin_matkhau_signin" name="admin_matkhau_signin"/>
                         </div>
                         <div class="block_signin">
                         <input class="input_check_signin" type="checkbox"/> Đồng ý
                         </div>
                         <div class="block_button_signin">
                    		<input class ="btnDangnhap" type="submit" value="Đăng ký"/>
                        </div>
                    </form>
                   
                </div>
            </div>